Organization
LUCKY DENTAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEKSANDR AZBEL D.D.S (OWNER)
(917) 834-2219
Entity
Organization
Contact information
Practice address
6555 WOODHAVEN BLVD, REGO PARK, NY 11374-5048
(917) 834-2219
(914) 428-6537
Mailing address
6555 WOODHAVEN BLVD, REGO PARK, NY 11374-5048
(917) 834-2219
(914) 428-6537
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
046043-1
NY
Other
Enumeration date
06/17/2009
Last updated
06/17/2009
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